Document rpnkBjwKpw0aD906XzB0o8M1J

January xJj., 1958 Dr. Rafael Schiaffino Jefe de la Divisino de 'Iyglene Ministeri de Salud Publica Il de Jullo 1892 Morifcevideo, Uruguay Dear Doctor Schiaffino;#* Hr* Lester Roberta ha transmitted to me your letter enclosing an Invoice for medical service rendered, and containing questions concerning the continuation of your work* X also received your letter today* On Pag 2 of the memorandum which X sent you in November wilt be found Instructions on the frequency of examinations* As stated there, l believe that you will find It advisable to examine the men four times per year for the first year* Later you may coma to the conclusion that two examinations per year will be satisfactory* However, It Is my wish that you satisfy yourself as to what la necessary* All medical supervision in connection with this type of work should be don according to the discretion of the physician In charge, after direct knowledge gained from visiting the mixing plant and examining the workmen* X want you to assume this responsibility in Uruguay, referring to me only those questions on which you feel that you heed information or ins tractions# fhe memorandum which 1 sent you is for your general guidance* X shall so that you rcoolvo further Information as soon a translation of various sclentifI articles, have been completed and printed* ' \ :. : Xn the matter of your exam! nations and records, you should do complete physical examinations and maintain satisfactory records of each examination as evidence of the physical state of each workman# In addition to a .physical examination I advise an analysis of the urine for albumen, sugar and for any other substance that may be Indicated by abnormal findings* A blood smear should be examined In search of evidence of basophilic granulation (stippling) of the erythrocytes* Recommendations 'made concerning the disposition af a work should be communicated to the management of the refinery. HZ 001 3 5 1 0 N17460 ' Aa to your compensation, I . have approved your invoice* and I shall reoomend. that an arrangement be made whereby yon sill not have to send then to me in the future* but can be compensated promptly# Ko doubt you sill hear either from JSr* Koberfcs or directly from the head office of Ethyl Export Corporation In Hew York* . If I have not made my wishes clear* I hope you will write t.p me again* Also X hope you will consult me on any matters on which you wish to have my opinion* Cordially yours, niik :is cc Mr. Champlin iiBb^rrri^~inD* . ftF 0 0 1 3 5 1 1